HomeMy WebLinkAboutIMPV-08-2023-202400.TIF Alt
CATAWBA COUNTY
�+ -�a Public Health Department Subdivision
., s Environmental Health Division PIN# 372215731849
ti-i
�\ dip PO Box 389,25 Government Drive,Newton,NC 28658 t 0Tti 1
449 W
Stt*Addrsss: 520 FAIRGROVE CHURCH RD SE, CONOVER NC 28613
Nam on Permit LONG YANG
Property Sire: Acres 0.82
Directions: Corner of Tate Blvd and Fairgrove Church RD
Owner/Authorized Representative Acknowledgement of Permit Receipt
xI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
th property described above.
XIV As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service EHPR-05-2023-44221,by the following method(s):
_ Received in Person
_ Facsimile Transmittal (Return form with signature required)
,( Electronic Image Transmittal/E-mail (Return receipt required)
1( L/As the property owner or authorized representative I have reviewed and understand the specific conditions
(� o the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:08/10/2023
Owner/Authorized Representative Signature
Date_ rir 0-3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/'Time 00)P3
Method: Fax I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt no hear from yoiPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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44e CATAWBA COUNTY Case# IMPV-08-2023-202400
1,(.......t. ,� Public Health Department Subdivision
' Environmental Health Division PIN# 372215731849
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
3 SM
Site Address: 520 FAIRGROVE CHURCH RD SE, CONOVER NC 28613
Name on Permit: LONG YANG
Property Size: Acres 0.82
Directions: Corner of Tate Blvd and Fairgrove Church RD
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Repair/Expansion
Wastewater Flow 480 g.p.d
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
—
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
Permit Conditions: 'See AC
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to
approve the initial system installation,or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit
is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not
affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and
Rules for Sewage Treatment and Disposal Systems' (15A NCAC 1 8A.1900). Neither Catawba County nor the Environmental Health
Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time.
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
°IlfifiViL 1/67,4 \
08/10/2023
Authorized State Agent Permit Issuance Date
8/10/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chprmtit 08/10/2023 16:02
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Copyrlpht2023 Catawba County NC
08/19/2023
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet 1_oI
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL!WAIT,I SECTION PROPERTY ID 10: //II 7 1
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ON-SITE WATER PROTEC'11ON BRANCH COUNTY:
4O11JS1TIC IIVALIIATION
for ON-Stir WAMTIKWATER MYl1TICM
Ictimplsle.11 heldh hi fill)
OWNER: C1.9 yin APPLICATION DATE 3//!73
ADDRESS: - J-- 9 --- _ - ---_ - ------- ---- - - - — - DATE EVALUATED:
PROPOSED FACILITY: E.t A PROPOSE ESIGN FLOW(.1949): - U�(-� PROPERTY SIZE: 0.87 ACita
LOCATION OF SITE: 5j AO Ve (1I4 20 CA2qny /y(L 7f6J3 PROPERTY RECORDED:
WATER SUPPLY: I 1 Private 1 ii'ublic lI Well ❑Spring Il Other
.EVALUATION METHOD: I 1 Au_ Boring l7 Pit ❑Cut TYPE OF WASTEWATER: O Sewage Cl Industrial Process I I Mixed
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SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
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• LANDSCAPE HORIZON
POSITION/ DEPTH .1942 PROFILE
▪ SLOPE.y. (1N•) .1941 .1941 SOIL .1943 .I9S6 .1944 CLASS
STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
Ls , 6-II ScL 58K fr, 554spistxt es
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1 29-55 CL BC wsBK , ss,s 55
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DEIC'1UPTXM Mfr M SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): P/
SITE CLASSIFICATION(.194g): Ps
Available Specs(.I94S) P5 f5
EVALUATED BY: CkL an 2 /Ulof
system Trp•(s) Z5"I9 red 5O°o (ad OTHER(S)PRESENT: r ..I, -
Sae LTAR 0.3 0. 3
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TATE BLVD SE
Parcel: 372215731849, 520 FAIRGROVE 1 in=40ft
CHURCH RD SE CONOVER, 28613
Thaw anpNaport product wee prepared born the Catawba Coup ,NC Geoapatlal Information Services. Catawba County has made wbateneal&torte
to own the socvaoy of brrtion and maim intonnatlon =Mined on this map or data on this report.Catawba County promotes and recommends
b Ydapardrt raidaaellon of any data imitated on thin nuffsfrePoll Product by ths uaar.Ths County of Catawba.ka ernployesa,'woe,and
n persoal.disdain,and Mal not be Mid liable for any and datt»pa.lose or liability,whether dared.Indirect or aamNpusrtul which greet or may
NW trout this rnaphport product or the use thereof by any WW1 or ity�wW County NC
08/19/2023